Weekly Check Point - Stroke Flashcards

1
Q

A 65-year-old male presents with sudden onset of right-sided weakness and aphasia. Which artery is most likely occluded?

A. Basilar artery

B. Posterior cerebral artery

C. Middle cerebral artery

D. Anterior cerebral artery

A

C. Middle cerebral artery

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2
Q

Which of the following is the most appropriate initial imaging modality for a suspected acute ischemic stroke? The modality must be quick, widely available and effective.

A. MRI with contrast

B. PET scan

C. CT angiography

D. CT scan without contrast

A

D. CT scan without contrast

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3
Q

Which one of the following is a common risk factor for ischemic stroke?

A. Vitamin D deficiency

B. Hyperthyroidism

C. Smoking

D. Hypotension

A

C. Smoking

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4
Q

A 58-year-old female presents with sudden onset of severe headache, nausea, and vomiting. She has a history of hypertension. Which one of the following is the most likely diagnosis?

A. Ischemic stroke

B. Transient ischemic attack

C. Migraine

D. Haemorrhagic stroke

A

D. Haemorrhagic stroke

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5
Q

Which one of the following is the primary goal of thrombolytic therapy in the treatment of acute ischemic stroke?

A. Decrease blood pressure

B. Reduce inflammation

C. Dissolve the blood clot

D. Stabilize heart rate

A

C. Dissolve the blood clot

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6
Q

Which one of the following is a key component of secondary prevention in patients who have had an ischemic stroke?

A. Regular exercise

B. High-dose vitamin C

C. Antiplatelet therapy

D. Long-term antibiotic use

A

C. Antiplatelet therapy

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7
Q

Which one of the following is a modifiable risk factor for ischemic stroke?

A. Gender

B. Age

C. Family History

D. Hypertension

A

D. Hypertension

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8
Q

According to the new definition, which one of the following best describes a transient ischaemic attack (TIA)?

A. A transient episode of neurological dysfunction caused by global cerebral ischaemia with infarction

B. A transient episode of neurological dysfunction caused by global cerebral ischaemia with widespread permanent damage

C. A transient episode of neurological dysfunction caused by focal brain ischaemia with infarction

D. A transient episode of neurological dysfunction caused by ischaemia without infarction

A

D. A transient episode of neurological dysfunction caused by ischaemia without infarction

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9
Q

A 55-year-old female presents to the emergency department with a sudden, severe headache described as “the worst headache of her life,” along with nausea, vomiting, and neck stiffness. Which one of the following is the most likely diagnosis?

A. Non-haemorrhagic stroke

B. Subarachnoid haemorrhage

C. Transient ischemic attack

D. Ischemic stroke

A

B. Subarachnoid haemorrhage

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10
Q

Which one of the following is an absolute contraindication for thrombolytic therapy in the treatment of acute ischemic stroke?

A. Active bleeding

B. Hyperlipidaemia

C. Recent myocardial infarction

D. Diabetes mellitus

A

A. Active bleeding

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